Welcome to UVU coaching

1
Name
First Name
Last Name
2
Email
example@example.com
3
Phone Number
Area Code
Phone Number
4
Gender
Male
Female
Prefer not to say
5
Goals
Lose Fat
Gain Muscle
Maintain Weight
Build Discipline
Other
6
What Is Your Overall Goal?
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7
Height In CM?
8
Current Weight In KG?
9
Do You Have Any Current Injuries I Should Know About?
No
Knee
Shoulder
Elbow
Wrist
Back
Lower Back
Abs
Foot/Ankle
Other
10
What Is Your Occupation? If Includes shifts add in what days/hours
11
Favourite Foods?
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12
What Food Would You Like To Be Incorporated Into Your Plan?
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13
Favourite Snacks?
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14
Do You Currently Track Your Food?
YESNO
15
Please provide a 3 day food diary?
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16
How many litres of water do you drink per day?
17
How often do you consume Alcohol?
Never
Rarely
Frequently
Every Week
18
Do you smoke?
YESNO
19
Do you take any vitamins/supplements?
YESNO
20
Free time & exercise
Sedentary (zero activity)
Light exercise (1-2 times per week)
Moderate exercise (3-5 per week)
Heavy exercise (6-7 per week)
Athlete (2x per day)
21
Occupation Activity
Mainly sitting- Student or Working an office
Mainly standing working and some walking during the day
Stands or walks about all day- (waiter or cleaner etc)
Hard physically demanding job- (manual labour or construction worker etc)
22
Do you use a step tracking device?
YESNO
23
How much cardio do you currently do per week?
24
How many days per week can you commit to the gym?
0
1
2
3
4
5
6
7
25
How long can you spend training per day?
26
What days do you usually workout?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
27
When do you usually workout?
Morning
Before Noon
Noon
Afternoon
Evening
Night
28
What is your diet preferences/any allergies?e.g Vegan, Halal, Vegetarian, Lactose Intolerant, Fish Allergy
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29
Do you have any particular movements you enjoy doing or find easy to progress with?
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30
Are there any exercises you don't connect well with or struggle doing?
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31
What body areas would you like to focus on the most?
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32
Are there any specific days you cannot train?
33
How many days can you workout?
1
2
3
4
5
6
7
34
How experienced are you with strength training?
I am a beginner and have only trained a few times
I have trained for some time and know the basics
I have trained for more than 2 years and feel confident in the gym
35
Do you have any bad habits that might be setting you back?
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